Mid Sussex district Council / Serco joint monitoring

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• Find location
  Address

• Select reg number

  Select VAO 7NKH VAO 7NKJ VAO 7NKT VAO 7NKK VAO 7 NKL VAO 7NKM VAO 7NKN VAO 7NKU VAO 7NKP VAO 7NKR VAO 7NKS VAO 7NKO VU52 SNF other

  • VAO 7NKH
  • VAO 7NKJ
  • VAO 7NKT
  • VAO 7NKK
  • VAO 7 NKL
  • VAO 7NKM
  • VAO 7NKN
  • VAO 7NKU
  • VAO 7NKP
  • VAO 7NKR
  • VAO 7NKS
  • VAO 7NKO
  • VU52 SNF
  • other

• Select crew

  Select Green Recycling refuse street

  • Green
  • Recycling
  • refuse
  • street

• Indicate which crew

  Select clinical dig waste northern villages southern villages burgess hill haywards heath east grinstead

  • clinical
  • dig waste
  • northern villages
  • southern villages
  • burgess hill
  • haywards heath
  • east grinstead

Initial Observations on approach

• Yes

  No

  N/A

• We're staff seen to be wearing a seat belt

  Yes

  No

  N/A

• Indication action taken

  on the road side

  report to the office at the end of shift

  disciplinary required in office

• 1. Are the driving standards acceptable

  yes

  no

  n/a

• Add comments

• 2. Are all the correct traffic regulations seen to being observed

  yes

  no

  n/a

• Indicate which regulation seen to be breached

  Speeding

  smoking in the vehicle

  talking on the mobile while driving

  driving without due care and attention

• 2.a Indicate action required

• 3. Was due care and attention given to other road users

  yes

  no

  n/a

• Note actions required

• 4. Was a reversing assistant seen to be used

  yes

  no

  n/a

• 4a. Was the correct procedure used

  yes

  no

• 4.b Indicate what action is needed

  retraining

  re attending induction

  other

• 4.c indicate what other action is required

• 5. Was the vehicle seen to come to a complete stop before operatives exited

  yes

  no

  n/a

The exterior of the vehicle

• 6. Is the exterior of the vehicle clean

  yes

  no

• 6.b Indicate action required

• 6c add Photograph

  Media

• Photo of vehicle

  Media

• 7. What is the general condition of the vehicle

  good

  moderate

  needs action

• 7.a Indicate action required

• 8. Are all the headlights / rear lights working correctly

  yes

  no

  n/a

• 8.a record faulty lights

  Front N/S

  Front O/S

  Rear N/S

  Rear O/S

• Is the vehicle a street service crew

  Yes

  No

  N/A

• yes

  no

• Indicate which crew

  Select clinical dig waste northern villages southern villages burgess hill haywards heath east grinstead

  • clinical
  • dig waste
  • northern villages
  • southern villages
  • burgess hill
  • haywards heath
  • east grinstead

• Is the correct daily round sheet being used

  yes

  no

  n/a

• Indicate action required

  retraining

  re attending induction

  other

• 9. Are all the indicators working correctly

  yes

  no

• 9.a Indicate which ones are faulty

  Select Front N/S Front O/S Mid O/S Mid N/S Rear O/S Rear N/S

  • Front N/S
  • Front O/S
  • Mid O/S
  • Mid N/S
  • Rear O/S
  • Rear N/S

• 10. Are all the hazards beacons working correctly

  yes

  no

• 10.a select faulty hazard beacon

  Select Front N/S Front O/S Mid O/S Mid N/S Rear O/S Rear N/S

  • Front N/S
  • Front O/S
  • Mid O/S
  • Mid N/S
  • Rear O/S
  • Rear N/S

• recorded in daily log

  return to workshop

  other

• 11. Is the bin lift working correctly

  yes

  no

  n/a

• 12. Does the emergency stop button operate correctly

  yes

  no

• Add action to taken

  button sticking

  button not responding

  other

• 12.a Indicate fault

• 13. Are the bins placed correctly on the bin lift

  yes

  no

  n/a

• 13a. Is further training required

  yes

  no

  n/a

• 13.b Select training action required

  retraining

  re attending induction

  other

• 14. Are there wheel tags present and are they being correctly used

  yes

  no

  n/a

• 15. Do the doors operate correctly

  yes

  no

  n/a

• 15.a Indicate fault

  Door sticking

  lock not working

  other

• 15.b Indicate fault

Interior of cab

• 16. Is the interior of the cab clean

  yes

  no

  n/a

• 17. Is there a first aid kit available

  yes

  no

  n/a

• 18. Are there eye wash bottles available

  yes

  no

  n/a

• 18.a record expiry date

  Date

• 19. Is there a fire extinguisher

  yes

  no

  n/a

• 19.a record the replacement date

  Date

• 20. Does the height indicator work correctly

  yes

  no

  n/a

• 20.a record fault

• 21. Are all the seat-belts present and in working order

  yes

  no

  n/a

• 22. Is there hand wash facility and blue paper available

  yes

  no

  n/a

• 23. Is there an operating booklet and safety rules available

  yes

  no

  n/a

• 24. Is there a hard hat and safety googles available

  yes

  no

  n/a

• 25. Has the drivers daily log been completed correctly

  yes

  no

  n/a

• 26. Are there any totted items

  yes

  no

  n/a

• Indicate totted items

• Add media

  Media

Staff

• 27. Are the staff wearing the correct PPE

  yes

  no

  n/a

• Select the missing PPE items

  Hi Viz jacket

  gloves

  steel toe cap boots

  ballistic hi viz trousers

  other

• 27.a Indicate the missing or faulty items

• 28. Are there any agency crew on the crew

  yes

  no

• Have they been on induction

  yes

  no

• 29. Are the staff using the colorectal manual handling techniques

  yes

  no

  n/a

• 30. What is the quality of the work

  good

  poor

  record fault

• 31. Are all the working practices acceptable

  yes

  no

• 31.a select action required

  retraining

  re attending induction

  other

• Please indicate actions required

Supervisor monitoring

• 32. Is the Serco supervisor wearing the correct PPE

  yes

  no

• Indicate items missing

  Hi Viz jacket

  gloves

  steel toe cap boots

  ballistic hi viz trousers

  other

• 33. Was the inspection carried out in a safe location

  yes

  no

• 34. We're all the checks carried out in accordance with procedure

  yes

  no

  n/a

• 34.a please indicate non compliant issues

Declaration

• 35. Were there any further inspector observations

  yes

  no

• 35.a please indicate observations

• Signature of driver

  Sign

• Signature of Serco supervisor

  Sign

• Signature of MSDC officer

  Sign